Medical Coding Certification Exam Preparation 2nd Edition By Stewart – Exam Bank
To Purchase this Complete Test Bank with Answers Click the link Below
If face any problem or
Further information contact us At tbzuiqe@gmail.com
Sample Test
Medical Coding, 2e (Stewart)
Chapter 3 ICD-10-CM Chapter-Specific Guidelines
1) Not all chapters have guidelines for coding conditions within
the chapters because:
1. A)
guidelines for some of the chapters have not yet been developed
2. B)
guidelines have been developed but are not yet published
3. C)
some guidelines conflict with those provided in the general guidelines and are
not published to reduce confusion
4. D)
guidelines are not necessary for some chapters
Answer: A
Explanation: Although all chapters of the ICD are included
in the chapter-specific guidelines, not all chapters have guidelines for coding
conditions located within the chapter. Guidelines for some of these chapters
have not yet been developed.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
2) The Chapter Specific Coding Guidelines are found in:
1. A)
Section I, A
2. B)
Section I, B
3. C)
Section I, C
4. D)
Section I, D
Answer: C
Explanation: The ICD-10-CM Official Guidelines for Coding
and Reporting are found in Section I, C.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
3) Select the best answer for the following: The guidelines at
the ________ level(s) supersede the chapter-specific guidelines.
1. A)
chapter
2. B)
section
3. C)
chapter, section, and code
4. D)
code and section
Answer: C
Explanation: The guidelines and directions provided at the
chapter, section, and code levels supersede the chapter-specific guidelines.
Difficulty: 2 Medium
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Understand
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
4) Guidelines for Chapter 1, Infectious and Parasitic Diseases,
include correct coding guidelines for:
1. A)
HIV, SIRS, and cellulitis
2. B)
HIV, septicemia, and SIRS only
3. C)
HIV, sepsis, and severe sepsis only
4. D)
HIV, sepsis, severe sepsis, septic shock, MRSA and ZIKA virus
Answer: D
Explanation: Guidelines for Chapter 1, Infectious and
Parasitic Diseases, includes correct coding guidelines for HIV, septicemia,
SIRS, sepsis, severe sepsis, and septic shock.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
5) Guidelines for correct coding of Admission/encounter for
therapy of neoplasms are found in Section, Subsection:
1. A) I,
C, 2, e
2. B) I,
C, 2, d
3. C) I,
C, 2, h
4. D) I,
C, 2, i
Answer: A
Explanation: Guidelines for correct coding of
Admission/encounter for therapy of neoplasms are found in Section, Subsection
I, C, 2, e.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
6) Section, Subsection I, C, 2, a provides a specific guideline
for:
1. A)
Coding and sequencing of complications
2. B)
Treatment directed at the malignancy
3. C)
Treatment of secondary site
4. D)
Determining extent of malignancy
Answer: B
Explanation: Section, Subsection I, C, 2, a provides a
specific guideline for Treatment directed at the malignancy.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
7) Correct coding guidelines regarding Treatment of secondary
neoplasm site are outlined in Section, Subsection:
1. A) I,
C, 2, g
2. B) I,
C, 2, e
3. C) I,
C, 2, b
4. D) I,
C, 2, a
Answer: C
Explanation: Correct coding guidelines regarding Treatment
of secondary neoplasm site are outlined in Section, Subsection I, C, 2, b.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
8) Guidelines regarding correct Coding and sequencing of
complications associated with malignancies or with therapy are found in
Section, Subsection:
1. A) I,
C, 2, c
2. B) I,
C, 2, d
3. C) I,
C, 2, h
4. D) I,
C, 2, i
Answer: A
Explanation: Guidelines regarding correct Coding and
sequencing of complications is found in Section, Subsection I, C, 2, c.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
9) Section, Subsection I, C, 2, d provides correct coding
guidelines for:
1. A)
Admission/encounter for therapy
2. B)
Symptoms, signs, and ill-defined conditions associated with neoplasms
3. C)
Coding and sequencing of complications
4. D)
Primary malignancy previously excised
Answer: D
Explanation: Section, Subsection I, C, 2, d provides
correct coding guidelines for Primary malignancy previously excised.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
10) Coding guidelines for determining the extent of the
malignancy are found in Section, Subsection:
1. A) I,
C, 2, g
2. B) I,
C, 2, h
3. C) I,
C, 2, e
4. D) I,
C, 2, f
Answer: D
Explanation: Coding guidelines for determining the extent
of the malignancy are found in Section, Subsection: I, C, 2, f.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
11) Section, Subsection I, C, 2, g covers guidelines regarding:
1. A)
Treatment directed at the malignancy
2. B)
Admission/encounter for therapy
3. C)
Symptoms, signs, and ill-defined conditions associated with neoplasms
4. D)
Malignant neoplasm associated with transplanted organ
Answer: C
Explanation: Section, Subsection I, C, 2, g covers
guidelines regarding symptoms, signs, and ill-defined conditions associated
with neoplasms.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
12) Admission/encounter for pain management is discussed in
Section, Subsection:
1. A) I,
C, 2, h
2. B) I,
C, 2, i
3. C) I,
C, 6, b
4. D) I,
C, 2, e
Answer: C
Explanation: Admission/encounter for pain management is
discussed in Section, Subsection I, C, 2, h and refers the coder to I, C, 6.
If you go to I, C, 2, h it states Admission/encounter for pain
control/management see section I, C, 6, b
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
13) Section, Subsection I, C, 2, i provides correct coding
guidelines for:
1. A)
Admission/encounter for pain management
2. B)
Malignancy in two or more contiguous sites
3. C)
Coding and sequencing of complications
4. D)
Primary malignancy previously excised
Answer: B
Explanation: Section, Subsection I,C,2,i provides correct
coding guidelines for Malignancy in two or more contiguous sites.
Difficulty: 1 Easy
Topic: Chapter-Specific General Guidelines
Learning Objective: 03.01 Review ICD chapter-specific
general guidelines.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
14) When coding for human immunodeficiency virus (HIV) and
HIV-related conditions, the coder must understand the current state of the
________ in relation to the condition of HIV.
1. A)
treatment
2. B)
medication
3. C)
patient
4. D)
physician
Answer: C
Explanation: When coding for human immunodeficiency virus
(HIV) and HIV-related conditions, the coder must understand the current state
of the patient in relation to the condition of HIV.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
15) Only if the condition is ________ can a coder select a code
from category B20, human immunodeficiency virus (HIV) disease.
1. A)
suspected
2. B)
probable
3. C)
confirmed by test results as stated in a laboratory report
4. D)
confirmed by a statement by the provider in the documentation
Answer: D
Explanation: Only if the condition is confirmed, as stated
in the provider’s documentation, can a coder select a code from category B20,
human immunodeficiency virus (HIV) disease.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
16) A coder reviews a patient’s medical chart and reads a
laboratory report of blood work ordered by the physician after the patient’s
last visit. The patient presented with a chief complaint of general weakness
and persistent cough as documented in the medical record and no further
definitive diagnosis is documented. The coder sees that presence of HIV is
confirmed in the laboratory report. The coder should:
1. A)
Code HIV only
2. B)
Code HIV, general weakness, and persistent cough
3. C)
Code general weakness only
4. D)
Code general weakness and persistent cough
Answer: D
Explanation: A coder may not assign an HIV code to patient
until that diagnosis is documented by the provider in the provider’s
documentation. A coder may not assign an HIV code solely from a pathology or
laboratory test.
Difficulty: 3 Hard
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Apply
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
17) Which of the following is not required to select an HIV
code?
1. A)
confirmed diagnosis in the documentation
2. B)
provider’s documentation of an HIV diagnosis
3. C) a
positive test result confirming an HIV diagnosis
4. D) a
provider’s statement regarding HIV diagnosis
Answer: C
Explanation: As coders are not permitted to interpret lab
or pathology findings, the provider’s statement is sufficient and a positive
test result is not needed to code the patient’s condition.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
18) The presence of ________ signifies a progression of HIV
disease from asymptomatic to symptomatic and shifts a patient’s diagnosis from
HIV to AIDS.
1. A)
opportunistic infections
2. B) bacterial
infections
3. C)
viral infections
4. D)
generalized weakness
Answer: A
Explanation: The presence of opportunistic infection
identifies HIV as symptomatic and signifies a progression of HIV disease
shifting a patient’s diagnosis from HIV to AIDS.
Difficulty: 2 Medium
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Understand
CAAHEP: I.C.8.a signs; I.C.8.b symptoms; I.C.8.c etiology
ABHES: 2.b Describe common diseases, symptoms, and
etiologies as they apply to each system
19) When an opportunistic infection, such as Kaposi’s sarcoma of
the lung, is documented in an HIV-positive patient’s record, how may the coder
report this diagnosis?
1. A)
Z21
2. B)
C46.50
3. C)
B20
4. D)
B20, C46.50
Answer: D
Explanation: Once an opportunistic infection, such as
Kaposi’s sarcoma, is documented as being present in an HIV-positive patient’s
record, the patient’s HIV-positive diagnosis shifts to B20 AIDS and the
opportunistic infection is coded as a secondary diagnosis
Difficulty: 3 Hard
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Apply
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
20) All of the following are HIV-related opportunistic
infections except:
1. A)
Tuberculosis
2. B)
Gonorrhea
3. C)
Syphilis
4. D)
Candidiasis
Answer: B
Explanation: Tuberculosis, syphilis, and candidiasis are
considered to be HIV-related opportunistic infections.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
21) All of the following are HIV-related opportunistic
infections except:
1. A)
Molluscum contagiosum
2. B)
Microsporidiosis
3. C)
Toxoplasmosis
4. D)
Rickettsioses
Answer: D
Explanation: Molluscum contagiosum, microsporidiosis, and
toxoplasmosis are considered to be HIV-related opportunistic infections.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
22) All of the following are HIV-related opportunistic
infections except:
1. A)
Isosporiasis
2. B)
Psoriasis
3. C)
Cytomegalovirus
4. D)
Cryptosporidiosis
Answer: B
Explanation: Isosporiasis, cytomegalovirus, and
cryptosporidiosis are considered to be HIV-related opportunistic infections.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
23) All of the following are HIV-related opportunistic
infections except:
1. A)
Cryptococcal meningitis
2. B)
Aspergillosis
3. C)
Peripheral neuropathy
4. D)
Lordosis
Answer: D
Explanation: Cryptococcal meningitis, aspergillosis, and
peripheral neuropathy are considered to be HIV-related opportunistic
infections.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
24) All of the following are HIV-related opportunistic
infections except:
1. A)
Lymphomas
2. B)
Herpes simplex or zoster virus
3. C) Molluscum
contagiosum
4. D)
Leukemia
Answer: D
Explanation: Lymphomas, herpes simplex or zoster virus,
and Molluscum contagiosum are considered to be HIV-related opportunistic
infections.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections – Chapter-Specific
Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
25) When an opportunistic infection is present, which of the
following is true regarding code selection?
1. A) An
HIV code only is required
2. B) An
AIDS code only is required
3. C) An
HIV code and a code identifying the opportunistic infection are required; the
HIV code is always sequenced first
4. D) An
AIDS code and a code identifying the opportunistic infection are required; the
sequencing is dependent upon the reason for the visit and if other conditions
are present
Answer: D
Explanation: When an opportunistic infection is present,
the AIDS code (B20) and a code identifying the opportunistic infection are
required; the sequencing is dependent upon the reason for the visit, especially
when other conditions are present. Review Section I.C.1.a.2 guidelines
Difficulty: 2 Medium
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Understand
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
26) A 35-year-old male patient presents to the Emergency Room
with a chief complaint of severe pain in the right hand after sustaining a fall
down a flight of concrete steps at his apartment complex. Upon examination, the
patient sustained multiple closed fractures to the hand. The patient is also
HIV positive and suffers from peripheral neuropathy. Select the appropriate
code selection and sequence to report for this patient:
62.
A) S62.91XA, B20, G99.0
63.
B) Z21, G99.0, S62.91XA
64.
C) S62.91XA, Z21, G99.0
65.
D) B20, S62.91XA, G99.0
Answer: A
Explanation: When an HIV-positive patient is seen for an
unrelated condition, the diagnosis code for that condition is listed first,
followed by the code describing the patient’s HIV/AIDS status and code(s) for
any other associated conditions. In this case, the patient will receive a code
of S62.91XA, unspecified fracture of right wrist and hand (remember and means
and/or). This code requires a 7th character and in this case A would be
appropriate for initial visit. B20 would be coded to represent the HIV
diagnosis and G99.0 for the peripheral neuropathy.
Difficulty: 3 Hard
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Apply
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
27) Diagnosis code Z11.4 represents:
1. A)
Encounter for screening for human immunodeficiency virus (HIV)
2. B)
High-risk lifestyle
3. C)
Screening for other specified viral disease
4. D)
Inconclusive serologic test for human immunodeficiency virus
Answer: A
Explanation: Diagnosis code Z11.4 represents encounter for
screening for human immunodeficiency virus (HIV)
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections – Chapter-Specific
Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
28) Counseling for human immunodeficiency virus (HIV), when a
patient returns for test results and the test result is negative, is described
by which ICD-10-CM code?
11.
A) Z11.59
12.
B) Z72.89
13.
C) Z71.7
14.
D) R75
Answer: C
Explanation: Counseling for human immunodeficiency virus
(HIV), when a patient returns for test results and the test result is negative,
is described by Z71.7
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
29) Which ICD-10-CM code describes “Inconclusive laboratory
evidence of human immunodeficiency virus?”
1. A)
R75
2. B)
Z72.89
3. C)
Z11.59
4. D)
Z21
Answer: A
Explanation: Code R75 “Inconclusive laboratory evidence of
human immunodeficiency virus”.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
30) Patient is being seen to determine their HIV status and they
suspect they have been exposed to the HIV virus, select the appropriate code(s).
72.
A) Z72.9
73.
B) Z11.4, Z72.9
74.
C) Z11.4
75.
D) Z21
Answer: B
Explanation: ICD-10-CM code Z11.4is used to identify an
encounter for screening for HIV and Z20.6, reports the suspected exposure to
the HIV virus.
Difficulty: 1 Easy
Topic: Human Immunodeficiency Virus Infections –
Chapter-Specific Guidelines
Learning Objective: 03.02 Understand the chapter-specific
guidelines on human immunodeficiency virus (HIV) infections.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current diagnostic
coding classification system; IX.C.5 Define medical necessity as it applies to
procedural and diagnostic coding; IX.P.2 Perform diagnostic coding; IX.P.3
Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
31) The body’s response to septicemia, trauma, or cancer is:
1. A)
septic shock
2. B)
severe sepsis
3. C)
sepsis
4. D)
systemic inflammatory response syndrome
Answer: D
Explanation: The body’s response to septicemia, trauma, or
cancer is systemic inflammatory response syndrome. See Section I.c.1.18.g for
further details
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
32) Severe sepsis is:
1. A)
sepsis with organ failure
2. B) a
form of organ failure of the vascular system
3. C)
the presence of toxins or disease in the blood
4. D) a
response specifically to an infection
Answer: A
Explanation: Severe sepsis is sepsis with organ failure.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response Syndrome,
Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
33) Septicemia is:
1. A)
sepsis with organ failure
2. B) a
form of organ failure of the vascular system
3. C)
the presence of toxins or disease in the blood
4. D) a
response specifically to an infection
Answer: C
Explanation: Septicemia is the presence of toxins or
disease in the blood.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
34) A progressive condition that may or may not begin with an
infectious process but may result in organ failure and loss of life is:
1. A)
systemic inflammatory response syndrome
2. B)
septicemia
3. C)
sepsis
4. D)
severe sepsis
Answer: B
Explanation: A progressive condition that may or may not
begin with an infectious process but may result in organ failure and loss of
life is septicemia.
Difficulty: 2 Medium
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Understand
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
35) A response specifically to an infection is:
1. A)
systemic inflammatory response syndrome
2. B)
septicemia
3. C)
sepsis
4. D)
severe sepsis
Answer: C
Explanation: A response specifically to an infection is
sepsis.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
36) A form of organ failure of the vascular system is:
1. A)
septic shock
2. B)
severe sepsis
3. C)
sepsis
4. D)
systemic inflammatory response syndrome
Answer: A
Explanation: A form of organ failure of the vascular
system is septic shock.
Difficulty: 2 Medium
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Understand
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
37) As septic shock is organ failure due to sepsis,
documentation of septic shock alone indicates the presence of ________, and
coding this condition requires two codes.
1. A)
septic shock
2. B)
severe sepsis
3. C)
sepsis
4. D)
systemic inflammatory response syndrome
Answer: B
Explanation: As septic shock is organ failure due to
sepsis, documentation of septic shock alone indicates the presence of severe
sepsis and coding this condition requires at least two codes, the code for the
systemic infection followed by R65.21- severe sepsis with septic shock.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response Syndrome,
Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
38) Coding of sepsis requires a minimum of ________ code(s).
1. A)
one
2. B)
two
3. C)
three
4. D)
four
Answer: A
Explanation: Coding of sepsis requires a minimum of one
code, either the code for the causal organism or, if the organism is unknown,
A41.9 Sepsis, unspecified organism.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
39) Documentation of all of the following could result in a
diagnosis of SIRS except:
1. A)
Brachycardia
2. B)
Tachypnea
3. C)
Body Temperature
4. D)
White Blood Count
Answer: A
Explanation: Documentation of tachypnea, tachycardia, and
specific abnormalities of body temperature and white blood count could result
in a diagnosis of SIRS.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
40) Regarding SIRS, tachycardia is defined as:
1. A)
Heart rate greater than 80 beats per minute
2. B)
Heart rate greater than 90 beats per minute
3. C)
Heart rate greater than 100 beats per minute
4. D)
Heart rate greater than 110 beats per minute
Answer: B
Explanation: Regarding SIRS, tachycardia is defined as
heart rate greater than 90 beats per minute.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
41) Regarding SIRS, hypothermia is defined as:
98.
A) Body temperature less than 98.6 degrees Fahrenheit
99.
B) Body temperature less than 98.0 degrees Fahrenheit
100.
C) Body temperature less than 97.8 degrees Fahrenheit
101.
D) Body temperature less than 97.6 degrees Fahrenheit
Answer: A
Explanation: Regarding SIRS, hypothermia is defined as
body temperature less than 98.6 degrees Fahrenheit.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
42) Regarding SIRS, tachypnea is defined as:
1. A)
Respiratory rate greater than 40 breaths per minute
2. B)
Respiratory rate greater than 30 breaths per minute
3. C)
Respiratory rate greater than 20 breaths per minute
4. D)
Respiratory rate greater than 10 breaths per minute
Answer: C
Explanation: Regarding SIRS, tachypnea is defined as
respiratory rate greater than 20 breaths per minute.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
43) Aside from infection, under what circumstance can the body
develop SIRS?
1. A)
age
2. B)
trauma
3. C)
contagion
4. D)
mutation
Answer: B
Explanation: Aside from infection, the body can develop
SIRS after suffering a trauma.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
44) Which of the following is an antibiotic resistant staph
infection?
1. A)
MSSA
2. B)
MRA
3. C)
MRSA
4. D)
MSA
Answer: C
Explanation: MRSA (methicillin resistant staphylococcus
aureus) is an antibiotic resistant staph infection.
Difficulty: 1 Easy
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
45) A 27-year-old pregnant female in her second trimester
presents with MSSA. Select the appropriate code selection and sequence:
A41.01 Sepsis due to Methicillin susceptible staphylococcus aureus
B95.61 Methicillin susceptible staphylococcus aureus as the
cause of diseases classified elsewhere
O98.812 Other maternal infectious and parasitic diseases
complicating pregnancy, second trimester
98.
A) O98.812, A41.01
99.
B) O98.812, A41.01, B95.61
100.
C) A41.01, B95.61, O98.812
101.
D) O98.819, A41.01
Answer: A
Explanation: As with all conditions related to or present
with pregnancy, a code from Chapter 11, Complications of Pregnancy, Childbirth,
and the Puerperium is listed first, followed by the codes to identify sepsis.
Reference Section C (chapter specific coding guidelines), 11 Chapter 11), i 7
(The postpartum and peripartum periods; puerperal sepsis).
Difficulty: 3 Hard
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Apply
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
46) Chapter 2, Neoplasms, contains most, but not all, codes for
benign and malignant neoplasms. Some neoplasm codes are located in:
1. A)
Injury and Poisoning
2. B)
Signs, Symptoms, and Ill-Defined Conditions
3. C)
the chapters specific to the neoplasms’ anatomical sites
4. D)
the Neoplasm table only
Answer: C
Explanation: Chapter 2, Neoplasms, contains most, but not
all, codes for benign and malignant neoplasms. Some neoplasm codes are located
in the chapters specific to the neoplasms’ anatomical sites.
Difficulty: 2 Medium
Topic: Septicemia, Systemic Inflammatory Response
Syndrome, Sepsis, Severe Sepsis, and Septic Shock – Chapter-Specific Guidelines
Learning Objective: 03.03 Apply the chapter-specific
guidelines for septicemia, systemic inflammatory response syndrome (SIRS),
sepsis, severe sepsis, and septic shock.
Bloom’s: Understand
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
47) When locating a code for a neoplasm, begin by:
1. A)
referencing the Table of Neoplasms
2. B)
indexing the histologic term
3. C)
indexing the anatomical site
4. D)
indexing “benign” or “malignant”
Answer: B
Explanation: Always begin selection of neoplasm codes by
indexing the histologic term.
Difficulty: 1 Easy
Topic: Neoplasms – Chapter-Specific Guidelines
Learning Objective: 03.04 Recognize the chapter-specific
guidelines for coding neoplasms.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
48) If a coder has reviewed the subterms listed and cannot find
the condition documented, the coder should return to the main term and look for
a note stating:
1. A)
See
2. B)
Code first
3. C)
See also
4. D)
Code first underlying condition
Answer: C
Explanation: If a coder has reviewed the subterms listed
and cannot find the condition documented, the coder should return to the main
term and look for a note stating see
also.
Difficulty: 1 Easy
Topic: Neoplasms – Chapter-Specific Guidelines
Learning Objective: 03.04 Recognize the chapter-specific
guidelines for coding neoplasms.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
49) The site of origin of the malignancy is referred to as:
1. A)
benign
2. B)
secondary neoplasm
3. C)
malignant
4. D)
primary neoplasm
Answer: D
Explanation: The site of origin of the malignancy is
referred to as a primary neoplasm.
Difficulty: 1 Easy
Topic: Neoplasms – Chapter-Specific Guidelines
Learning Objective: 03.04 Recognize the chapter-specific
guidelines for coding neoplasms.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
50) An invasive tumor that spreads beyond the tumor site is said
to be:
1. A)
malignant
2. B)
benign
3. C)
primary neoplasm
4. D)
secondary neoplasm
Answer: A
Explanation: An invasive tumor that spreads beyond the
tumor site is said to be malignant.
Difficulty: 1 Easy
Topic: Neoplasms – Chapter-Specific Guidelines
Learning Objective: 03.04 Recognize the chapter-specific
guidelines for coding neoplasms.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
51) The spread or metastases of a malignancy is the:
1. A)
secondary neoplasm
2. B)
primary neoplasm
3. C)
malignant
4. D)
benign
Answer: A
Explanation: The spread or metastases of a malignancy is
the secondary neoplasm.
Difficulty: 1 Easy
Topic: Neoplasms – Chapter-Specific Guidelines
Learning Objective: 03.04 Recognize the chapter-specific
guidelines for coding neoplasms.
Bloom’s: Remember
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
52) If a primary site, due to excision or therapy, no longer
exists and the patient is receiving treatment for a secondary site, the primary
site is coded with:
1. A)
family history Z code
2. B)
personal history Z code
3. C)
Signs, Symptoms, and Ill-Defined Conditions code
4. D) no
code is assigned
Answer: B
Explanation: If a primary site, due to excision or
therapy, no longer exists and the patient is receiving treatment for a
secondary site, the primary site is coded with a personal history Z code.
Difficulty: 2 Medium
Topic: Neoplasms – Chapter-Specific Guidelines
Learning Objective: 03.04 Recognize the chapter-specific
guidelines for coding neoplasms.
Bloom’s: Understand
CAAHEP: IX.C.2 Describe how to use the most current
diagnostic coding classification system; IX.C.5 Define medical necessity as it
applies to procedural and diagnostic coding; IX.P.2 Perform diagnostic coding;
IX.P.3 Utilize medical necessity guidelines
ABHES: 7.d Process insurance claims
Comments
Post a Comment